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HILLCREST MANOR NURSING AND REHABILITATION CENTER

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HILLCREST MANOR NURSING AND REHABILITATION CENTER VS
Nursing Homes USA
General
City LULING   0% Nursing Homes USA have LULING
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 208 MAPLE ST  
Zip Code 78648  
Phone 8308755219  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
60 
108.94
Total Number of Residents
41 
91.25
Percent of Occupied Beds
68 %
83.65 %
Health Survey Date 2/10/2012  
Fire Survey Date 2/7/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
41 
91.38
Number of RN Hours Per Resident Per Day
0.59 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.72 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.31 
1.59
Number of CNA Hours Per Resident Per Day
0.14 
5.49
Number Therapy Hours Per Resident Per Day
0.14 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 02/10/2012
date Of Correction: 03/27/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 02/10/2012
date Of Correction: 03/27/2012 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/03/2011
date Of Correction: 03/25/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 09/29/2009
date Of Correction: 10/15/2009 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/10/2012
date Of Correction: 03/27/2012 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 02/10/2012
date Of Correction: 03/27/2012 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 06/03/2011
date Of Correction: 06/21/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28.6 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
3.4 %
16.66 %
Percent of long-stay residents who lose too much weight
75.2 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
4.8 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
100 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
5.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.4 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.50 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 8.9 / 9.9 % 
Percent of long-stay high-risk residents with pressure ulcers
2.4 %
9.22 %
Percent of long-stay residents who lose too much weight
1.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.7 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection 2.6 / 3 % 
Percent of long-stay residents who have depressive symptoms
1.7 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
4.3 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
12.5 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
100 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
97.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
10.8 %
17.34 %

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